| South River Internal Medicine, Pa | |
|
3168 Braverton St Ste 250 Edgewater MD 21037-2682 | |
| (410) 956-1600 | |
| (410) 956-7900 |
| Full Name | South River Internal Medicine, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3168 Braverton St Ste 250, Edgewater, Maryland |
| Authorized Official Name and Position | Renee Lynn Nye (FRONT OFFICE MANAGER) |
| Authorized Official Contact | 4109561600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South River Internal Medicine, Pa 3168 Braverton St Suite 250 Edgewater MD 21037-2674 Ph: (410) 956-1600 | South River Internal Medicine, Pa 3168 Braverton St Ste 250 Edgewater MD 21037-2682 Ph: (410) 956-1600 |
| NPI Number | 1710131024 |
|---|---|
| Provider Enumeration Date | 11/13/2008 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 6709936909 |
|---|---|
| Medicare Enrollment ID | O20090610000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710131024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D58166 (Maryland) | Primary |
| Provider Name | Eric C Marcalus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336190248 PECOS PAC ID: 5193875391 Enrollment ID: I20090610000065 |
South River Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 Mayo Rd, Edgewater, MD 21037 Phone: 410-956-6303 Fax: 410-956-6637 | |
South River Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3168 Braverton St, Suite 330, Edgewater, MD 21037 Phone: 410-956-7830 Fax: 410-956-7832 | |
Nadia Akhmed Md Internal Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3168 Braverton St, 330, Edgewater, MD 21037 Phone: 410-956-3090 Fax: 410-956-3063 | |
South River Family Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3168 Braverton St Ste 302, Edgewater, MD 21037 Phone: 410-353-1616 | |
South River Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3169 Braverton St, Suite 201, Edgewater, MD 21037 Phone: 410-956-4911 Fax: 410-956-4935 | |
Riva Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3169 Braverton St, Suite 102, Edgewater, MD 21037 Phone: 410-956-9566 Fax: 443-716-2595 |